Acute eosinophilic myocarditis: diagnosis and treatment.

Houman Rezaizadeh, Monica Sanchez-Ross, Edo Kaluski, Marc Klapholz, Bunyad Haider, Christine Gerula

Journal: Acute cardiac care 2010;12(1):31-6

PMID: 20201659

Abstract

Hypereosinophilic syndrome (HES) is a rare disorder of unregulated eosinophilia, which if untreated, may lead to systemic tissue infiltration and inflammation. Cardiac involvement is a common and serious associated complication. We describe a case of HES associated myocarditis mimicking a non-ST elevation MI (NSTEMI). Unlike myocarditis in general, our patient responded well to high dose methylprednisone, the standard of care in HES. We review the clinical presentation, pathophysiology, pathology and treatment of eosinophilic myocarditis related to HES.

Address: New Jersey Medical School, Newark, NJ 07101, USA.

DOI: 10.3109/17482940903578998

Link outs

Subscription / membership required

Full Text Sources:

https://www.tandfonline.com/doi/10.3109/1748294090...

MeSH Terms: Adult, Anti-Inflammatory Agents, Arthralgia, Biopsy, Chest Pain, Creatine Kinase, Diagnosis, Differential, Dientamoebiasis, Electrocardiography, Eosinophils, Female, Humans, Hypereosinophilic Syndrome, Leukocyte Count, Methylprednisolone, Myocarditis, Treatment Outcome, Troponin I